Petersen Health Business, LLC
Skilled Nursing Facility in Sandwich, IL. Organization (NPI-2).
NPI number1477579233
StatusActive
Last updated in NPPESJun 15, 2015
Details
- NPI
- 1477579233
- Entity type
- Organization (NPI-2)
- Legal business name
- Petersen Health Business, LLC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Jun 15, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Sandwich Rehabilitation & Health Care Center (Doing Business As)
Practice location
902 E Arnold StSandwich, IL 60548-1119
Phone 815-786-8409 · Fax 815-786-3830
Mailing address
830 W Trailcreek DrPeoria, IL 61614-1862
Phone 309-691-8113 · Fax 309-691-8622
Authorized official
Mark B. Petersen
Manager
3096918113
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